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Year : 2022  |  Volume : 22  |  Issue : 3  |  Page : 294-299

Rehabilitation of a mid-facial defect using maxillary obturator with a maxillary expansion device and orbital prosthesis

Department of Prosthodontics and Implantology, Meenakshi Academy of Higher Education and Research, Chennai, Tamil Nadu, India

Correspondence Address:
B Devi Parameswari
Meenakshi Ammal Dental College, Alapakkam, Chennai, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jips.jips_527_21

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Midfacial defects are defined as congenital or acquired defects in the horizontal plane at the middle third of the face and communicate with intraoral maxillary defects. These defects lead to speaking difficulty, difficulty in saliva control and deglutition, mastication, and esthetics. Prosthetic rehabilitation of such defects with maxillofacial prosthesis is a challenging task. Maxillary defects with bilateral undercuts present are common. This case report explains to achieve retention by engaging the bilateral undercuts with the desired path of insertion and obtaining adequate retention of these prostheses. This clinical case report presents prosthetic rehabilitation of a mid-facial defect involving one orbit and the premaxilla region with the help of silicone orbital prostheses and magnets along with an expansion device. This dramatically improved the patient's speech, mastication, deglutition, esthetics, and self-confidence.

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